Organization · Type 2 NPI
Fayette Physician Network Inc
Non-Pharmacy Dispensing Site · Masontown, PA
NPI number
1053704429
Active
Practice location
2175 Mcclellandtown Rd
Masontown, PA 15461-2593
Mailing address
5626 Oberlin Dr, Suite 110
San Diego, CA 92121-1705
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Non-Pharmacy Dispensing Site Primary | 332900000X | MD417327 (PA) |
Non-Pharmacy Dispensing Site: A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
4 other providers at this address
- Fayette Medical Associates IncFamily Medicine Physician Masontown, PA NPI 1659345924
- Fayette Physician Network IncFamily Medicine Physician Masontown, PA NPI 1780086967
- Brian Mudry, DOFamily Medicine Physician Masontown, PA NPI 1124028527
- Jaclyn Delgreco, DOFamily Medicine Physician Masontown, PA NPI 1669793907
About NPI 1053704429
Fayette Physician Network Inc's National Provider Identifier is 1053704429, issued on Mar 10, 2015. The primary taxonomy on file is Non-Pharmacy Dispensing Site (332900000X), and the practice location is in Masontown, PA. The record was last updated on Mar 10, 2015.